Fetoplacental insufficiency (FPN) chirwere umo mukadzi ane pamuviri ane shanduko dzekuchinja uye kusagadzikana kwepentecenta. Kune zviyero zvakasiyana, FPD inowanikwa mune inenge imwe neimwe yechitatu yechirume amai, saka dambudziko iri rakakosha zvikuru. Mu fetoplacental insufficiency, fetus haigamuchiri yakakwana ye okisijeni, inotanga kuona hypoxia, iyo inokanganisa kukura kwayo nekukura.
Aina FPN
Vanachiremba vane FPN:
1. Nokukura:
- primary fetoplacental insufficiency inonzi kutyora kwechibatanidzwa uye chimiro che placenta kusvika kumwedzi mina yekudzivirira. Kazhinji zvinowanikwa kune vakadzi vakambotambura nekushaya vana kana kuti vane zvirwere zvehomoni, kuchinja mudumbu, kubvisa pamuviri;
- yechipiri fetoplacental insufficiency pamuviri inowanikwa neparcenta yakazara mushure memwedzi mina. Zvikonzero zvinowanzonyanya kuputika, gestosis, kuvhiringidzika kuchinja kwechimiro cheparcenta kurwisa utachiona.
2. Parizvino:
- akaoma FPN - shungu dzemazuva mashoma dzenzvimbo yakanyatsobatanidzwa pasi, iyo yakakonzerwa nekuputsa kwakasimba kwepakita yeterine blood flow;
- asingagoneki fetoplacental kusakwanira - kushungurudzika zvishoma kwekuyerera kweropa.
3. Nechirudzi rwekukura kwekukura kwe fetus:
- kubhadhara nzira ye fetoplacental insufficiency - fetus inokura kazhinji;
- kubhadharwa FPN - kukura kwekukura kwekukura;
- Kuregererwa kweFPN - iyo fetus iri shure mushure mekugadzirisa mwedzi kana kupfuura, kune kukanganisa kukuru kwekushaya moyo, mukana wekufa kwekuberekwa uri pamusoro.
4. Nokunyanya kukanganisa:
- fetoplacental insufficiency 1a degree - chirwere chemazuva chinowanzobuda mumisungo yeumbilical cord. Muchiitiko ichi pane kushungurudzika kweropa kunopinda mumaketheni emuviri mutsva;
- fetoplacental insufficiency ya 1b degree - yeropa ruchiyerera muurwere uterine. Pane kutyora kwekuyerera kweropa mumaketheni emuumbambo wembilical;
- fetoplacental insufficiency yechipiri chechipiri - zvinetso mumbilical uye uterine arteri zvinowanikwa. Zvisinei, maitiro anokosha haana kuwanikwa;
- fetoplacental insufficiency ye 3rd degree - zvinetso zvinotyisa mumisungo ye umbilical cord .
Zvinokonzera fetoplacental kusakwana
Pane zviitiko zvakawanda zvinokanganisa FPN:
- zvirwere zvakakomba zvisingaperi zvemaamai zvakadai sehutachiona hwehutano, chirwere chemwoyo, chirwere cheshuga, chirwere chechirwere chechirwere;
- zvipembenene zvemuviri wekupemha, zvirwere zvevaeni, zvirwere panguva yekuzvitakura;
- Kubata pamuviri wakaoma ( gestosis , kutyisidzika kwepamuviri, Rhesus-kukaka);
- kusanganisa kusinganzwisisiki kwepa placenta;
- chirwere chemuviri (adenomyosis, myoma, chronic endometritis);
- kubvisa pamuviri, regressing pamuviri, kubvisa pamuviri kamwechete mumamnesis;
- kushungurudzika uye kunyanya kushanda;
- kusvuta panguva yekudzivirira;
- zvisikwa zvakashata uye mamiriro ehupenyu;
- ava nemakore makumi matatu nemashanu uye kusvika kumakore gumi nemasere.
Kuongororwa uye kurapwa kwe fetoplacental kusakwana
FPN inogona kuonekwa chete nekubatsirwa kwezvidzidzo zvakananga. Chiratidzo chikuru che fetoplacental insufficiency ndechiito chokutanga chekuita kwechechecheche, uye zvadaro kuderera kwehuwandu hwekufamba kwake. Kana kukura kunonoka, chiremba anocherechedza kuti hapachina kuwedzera mumimba mumasimba, kukanganisa pakati pehupamhi hwehutachire uye nguva yekuzvitakura. Kuongororwa kwe fetoplacental insufficiency inoitwa nema ultrasonic method, dopplerography uye cardiotocography. Hapana mari inobvumira kurapwa kwepakarepo kweFPN. Chinangwa chikuru chekurapa ndechekuvandudza kushandiswa kwegesi, kudzorera uterine-placental kupararira uye kumira inzwi rechibereko. Inogona kugadzwa Curantil, Actovegin, Ginipral, droppers ane magnesia.